SUCRALFATE AS A ADJUVANT IN POST-TONSILLECTOMY PAIN MANAGEMENT

Dr Anand Associate ProfessorDr Poorna chandran Senior ResidentDr Dhinakaran Daniel Post graduate

Department of AnaesthesiologyMeenakshi Medical College & Research Institute

AIM OF THE STUDY

• Study the effect of Sucralfate as adjuvant in post operative pain management of Adeno- Tonsillectomy

Sucralfate

• It is mucosal protective agent• It is Aluminum sucrose sulfate used in

treating GI ulcers• It selectively binds to Necrotic ulcer

tissue and forms a protective coat• It brings down the pain by this coat and

Promotes faster healing of the ulcer

CRITERIA

• ASA I CHILDREN• AGE GROUP 7-14 Years

• TWO GROUPS-GROUP P-RECEIVING PARACETAMOL-GROUP S-RECEIVING PARACETOMOL + SUCRALFATE

Methods & Materials

• Post operatively all patients were given paracetamol suppository

• oral paracetamol given after starting oral diet

• In group S in addition to this the patients are asked to swish and swallow 5 ml of Sucralfate

Observation

• The analgesic requirement is noted• Use of rescue analgesic is also

noted• The same surgeon observed the

healing in both groups on 2, 3, 5, 7th post op day

Observation…

• The pain is analysed with behaviour analysis and from parents

Analysis

The intensity of pain in both group is analysed

The total analgesic requirement is also noted

Healing is analysed by the surgeon .

Results

• Group S has reduced postoperative pain, analgesic requirement.

• The recovery of normal activity and normal diet was also earlier, than the Group P

• The percentage of mucosal coverage of Tonsillar fossa was significantly faster in Group S.

Conclusion

• Use of sucralfate in swish and swallow technique definitely improves post operative healing and brings down post tonsillectomy pain

REFERENCES

• Pain in infants and childrens-NEIL L.SCHECHTER,CHARLES B,BERDE,MYRON YASTER

• Freeman SB, Markwell JK. Sucralfate in alleviating post-tonsillectomy pain Laryngoscope2006

• McCarthy DM. Sucralfate. New Engl J Med 1991; 325: 1017-1025

Thank You